Implementing a culturally appropriate birthing policy: Ethnographic analysis of the experiences of skilled birth attendants in Peru
Implementing a culturally appropriate birthing policy: Ethnographic analysis of the experiences of skilled birth attendants in Peru
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DOI：
10.1057/jphp.2016.19
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发表时间：
2016-08-01
影响因子：
3.8
通讯作者：
Guerra-Reyes, Lucia
中科院分区：
文献类型：
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作者：
Guerra-Reyes, Lucia
关于熟练助产士（SBA）的政策需要考虑到文化上对SBA提供的护理的可接受性。很少有研究从中小企业的角度评估这些政策。我发现了挑战，并分析了小企业在秘鲁实施文化上适当的生育保健政策的经验。我在15个月的人种学研究中收集了数据：与2个村庄的5个sba和卫生官员进行半结构化访谈和非正式对话。我将采访结果与我对咨询、分娩的观察进行了比较。体制支持薄弱、缺乏培训、对政策的消极看法阻碍了政策的执行，对未来的个人和专业机会也有不利影响。秘鲁的小企业在尝试建立跨文化生育护理时面临许多挑战。我的建议包括提供有针对性的培训，促进更多样化的劳动力，以及增加社区参与。
Policies about skilled birth attendants (SBA) need to account for cultural acceptability of care rendered by SBAs. Few studies have assessed these policies from the perspective of SBAs. I identify challenges and analyze the experiences of SBAs implementing a culturally appropriate birth care policy in Peru. I collected data during 15 months of ethnographic research: conducting semi structured interviews and informal conversations with 5 SBAs in 2 villages and with health officials. I compared interview results with my observations of consultations and of labor and delivery. Weak institutional support, lack of training, negative perceptions of the policy inhibited implementation, as did detrimental effects on future personal and professional opportunities. SBAs in Peru face many challenges when trying to establish intercultural birth care. My recommendations include provision of focused training, promoting a more diverse workforce, and increasing community engagement.